Unusual presentation of uterine leiomyoma as a rectus sheath mass
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 1
Abstract
Abdominal wall leiomyomas are a rare finding and are thought to follow seeding following surgical resection of uterine fibroids. There is paucity of findings of isolated abdominal wall fibroids in the literature without previous surgeries for myomectomies or presence of uterine fibroids. We present a case of a 40-year-old parous lady with a history of previous abdominal hysterectomy for dysfunctional uterine bleeding. She presented with mass per abdomen since 6 months. The operative findings revealed a large mass in the parietal layers of the anterior abdominal wall attached to the rectus sheath with no intra-abdominal attachments. Histopathology revealed features suggestive of a leiomyoma. We conclude that rectus sheath leiomyomas are still a possibility and hence should be borne in mind while diagnosing an anterior abdominal wall mass.
Authors and Affiliations
Vinutha K Veerabhadrappa, Nandish S Manoli, Nandini N Manoli
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